Account Opening Form - LankaBangla Securities Limited Scheme/Corpor… · · 2015-10-14Deposit...

Non-Individual Deposit Scheme

Let Your Money Grow In Safe Hands

Account Opening Form

Corporate Financial Services

Growing Together...

www.lankabangla.com

Account Name

Account Number

ARM Code RM Code

CIF Number

CRG:

Sector Code:

Economic Purpose Code:

FA:

Rate of Interest:

Forwarded by

Designation Employee ID

Source/Branch

Signature

Recommended by Employee ID

Signature

Supported by Emlpoyee ID

Signature

Customer ID (Applicant):

Customer ID (Guarantor):

Group ID

Proposal ID:

Commitment ID:

Account Number:

Bankultimas Information:

Recommendation

BRANCH INFORMATIONBranches of LankaBangla Finance Limited

Dhanmondi BranchMIDAS Centre (8th Floor, North Side)

House No. 05, Road. No. 16 (New), 27 (Old)Dhanmondi-1209, Bangladesh

Phone: (88 02) 9114460, 91144519114648, 9114574, 9114658

Fax: (88 02) 9114671E-mail: [email protected]

Banani BranchAssurance Nazir Tower (Level 4),

65/B Kemal Ataturk Avenue,Banani, Dhaka 1213

Phone: +88 02 9883701-10, 9821428E-mail: [email protected]

Phone: (88 02) 8958863, 8960256, 7914230Fax: (88 02) 8960256

Peoples Insurance Bhaban (10th Floor)36 Dilkusha C/A, Dhaka-1000

Phone: (88 02) 9514570-2, 9513714-16, 9514767-8

Akhteruzzaman Center (Level 6)

Phone: (88 031) 2512601-03, 2514563-5Fax: (88 031) 2512604

E-mail: [email protected]

Yunusco City Centre (8th Floor)807/1056, CDA Avenue, O.R. Nizam Road

Phone: (880 31) 2868901-3Fax: (880 31) 2868904


Sylhet BranchKhoirun Bhaban (Level 3)

Holding No. 118 Azadi, MirboxtulaSylhet 3100, Bangladesh

Phone: (88 0821) 728420, 01833326093Fax: (88 0821) 728418


Comilla BranchOmri Mansion (3rd Floor), 349/KA (new)

Badurtola, Kandir Par, Comilla 3500, BangladeshPhone: (88 081) 73371-2, 01715622884


Narsingdi Branch

Madhabdi Bazar, Narsingdi 1604, BangladeshPhone: (88 02) 9446730-31, 01847026836


Bangshal Booth5, Bangshal Lane (Level 3), (57 New Shahid

Sayed Nazrul Islam Avenue), Dhaka 1100, BangladeshPhone: (88 02) 9550482, 9513822

Fax: (88 02) 7112904E-mail: [email protected]

Barisal BranchYounus Plaza (Level 2)

444 K. B. Hemayetuddin Road, Barisal 8200Phone: +88 0431 217784, 61884, 65030, 61225


Bogra BranchBogra Trade Center (Level 4)

Phone: +88 051 71031-35E-mail: [email protected]

Jessore BranchMohashin Super Market (2nd Floor)

10 R. N. Road, Jessore-7400, BangladeshPhone: (88 0421) 71146-47,

01833314787, Fax: (880 421) 71148E-mail: [email protected]

Mirpur BranchNorthern Khan Height Tower (Level 3)

Plot No. 34, Road No. 03, Block-D

Phone: 01766693229E-mail: [email protected]

Growing Together...

Corporate OfficeSafuraTower (Level-11), 20 Kemal Ataturk Avenue

Banani, Dhaka 1213, BangladeshPhone: +880 2 9883701-10, Fax: +880 2 8810998

www.lankabangla.com

For any query Please call our contact center 16325From overseas call 09611016325

www.facebook.com/lankabanglafinance

www.linkedin.com/company/lankabangla-finance

www.youtube.com/user/lankabangla

Corporate Financial ServicesDeposit Scheme Account Opening Form [Non-Individual]

Dear Sir,I/We are applying to open the following deposit scheme account. Our Organization detailed information are given below:

Account Information Account Title (English)

wnmve wk‡ivbvg/¯^Z¡ (evsjv)

Type of Organization Partnership Private/Public Limited NGO/NPO Proprietorship Joint Venture

Govt. Organization Club/Society Others (Please Specify)

Trade License Authority

e-TIN Number

VAT Number

Registered Address

Business/Office Address

Mailing Address(Any type of documentsdelivery purpose)

Factory Address

Note: Issue an A/C Payee Cheque/Pay Order/Bank Draft in favor of LankaBangla Finance Limited

SL No.

Date

The ManagerLankaBangla Finance Ltd.

________________________Branch

Trade License Number Date

Country Name If Foreign

Registration Authority

Nature of Business

Registration Number Date

Earn First Classic TDR

Monthly Earner

Quarterly Earner Half Yearly Earner

Money Builders

Double Money Triple Money

Shohoj Sanchoy months

Others ____________________________________________________

Deposit Amount BDT.

Interest Rate . %

Tenure Years Months

Cheque No. Date

Drawn on (Bank Name)

Source of Fund

TDR Account No.

CIF Number

Principle with interest Others_____________________________________________

___________________________________________________________________________________________

Deposited Amount (in words) _______________________________________________________________________________

Principle only

A. General• TDR is a non-negotiable instrument fixed for the period

specified and cannot be endorsed or discounted

• LankaBangla Finance Limited (LBFL) will receive deposits only for a specific period of time

• Issue only an A/C Payee Cheque/Pay Order/Bank Draft in favour of LankaBangla Finance Limited

• TDR will be accepted and the instrument will be provided subject to realization of Cheque/Pay Order/Demand Draft etc.

• Each deposit will be given an account number which shall be quoted on all correspondence by the depositor

• In case of death of the depositor, upon receipt of death certificate the account will cease to be operative and the amount deposited so far net off deduction will be paid to the nominee, and in absence of nominee, to the legal heirs of the deceased as per rules in force

• TDR shall be governed by any guideline from Bangladesh Bank as well as others controlling authority of Bangladesh

B. Minimum Amount• Minimum deposit amount is BDT 50,000 (Incase of Money

Builder minimum deposit amount is BDT 500)

C. Premature/Early Encashment C. 1 Term Deposit Deposit amount cannot be encashed before completion of

3 months from the opening date of the TDR. For premature encashment after completion of 3 months interest rate of the concerned account will be reduced by according to the following schedule:

For Double Money & Triple: No interest will be accord before completion of 3 years

D. Loan Against TDR• Quick Loan against TDR shall be allowed at any time after

opening a TDR account

• An account holder can get loan against TDR maximum 80% (for Earn First maximum 70%) of his/her deposited amount or 90% by the Discretion of LBFL authority

• Interest on such loan shall be fixed at 2% over interest rate of the respective TDR

• Any repayment received by LBFL shall be used to adjusting outstanding interest and the outstanding loan principle

• Loan fee applicable

E. Taxes & Levies• Taxes, Excise duty and Levies will be applied on deposit

accounts as per Government rules and regulations

F. Transferability• TDR accounts are not transferable

Terms & Conditions

Number of Months thedeposit remained

with LBFL91 days to 120 days 121 days to 180 days 181 days & above

Interest Rate No interest LBFL declared saving rate Reduced by2.50%

ForLankaBangla Finance Limited

Authorized Signature Authorized Signature

ARM Code Branch Code Product Code

RM Code Sector Code Cost Centre

Date of Application Date of Acceptance/Issue

Amount of TDR Rate of Interest

Tenure Date of Maturity

. %

Years Months

Name: _________________________________

Designation: ____________________________

Date: ________/________/_______________

Name: _________________________________

Designation: ____________________________

Date: ________/________/_______________

Name: _________________________________

Designation: ____________________________

Date: ________/________/_______________

Signature with seal

Signature with seal

Signature with seal

Signature with seal

Name: _________________________________

Designation: ____________________________

Date: ________/________/_______________

Singly Jointly Either or Survivor Others (Please Specify)

Special Instruction (if any)

Photograph(s) of Signatories

Sign

ator

y-2

Phot

ogra

ph

Sign

ator

y-1

Phot

ogra

ph

Sign

ator

y-3

Phot

ogra

ph

Sign

ator

y-4

Phot

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Sign

ator

y-2

Phot

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FOR OFFICE USE ONLY

Signing Authority & Acceptance of Terms & Conditions

I/We hereby declare that the above mentioned information are correct and shall provide any future information that is required. I/We hereby also acknowledge that we have read, understood and agreed to the Terms & Conditions governing corporate account(s) and all other products as indicated above with LBFL.

Signatory Information-1

Signature with seal

Name: _________________________________

Designation: ____________________________

Date: ________/________/_______________ Sign

ator

y-1

Phot

ogra

ph

Relationship with this Account: Director Partner Signatory Power of Attorney Holder Others ..........................Title: Mr. Mrs. Ms. Others................................................................

Male Famale

Date :

Name

bvg

Father’s Name

wcZvi bvg

Mother’s Name

gvZvi bvg

Spouse Name

¯^vgx/¯¿xi bvg

Nationality Date of Birth Birth Place

Occupation Designation

National ID Number Gender

Passport Number (if any)

Tax ID Number (if any)

CIF Number

A/C Number

Present Address (Resident)

eZ©gvb wVKvbv

Permanent Address

¯’vqx wVKvbv

Office Address

Mailing Address

Mobile Number Telephone (Office)

Fax E-mail IDResident Status Resident Non-Resident

Credit Card Details

Issuance Bank Name 1. 2.

Birth Certificate No.

Driving Licence No.


Male Famale

Date :

Name

bvg

Father’s Name

wcZvi bvg

Mother’s Name

gvZvi bvg

Spouse Name

¯^vgx/¯¿xi bvg






CIF Number

A/C Number


eZ©gvb wVKvbv

Permanent Address

¯’vqx wVKvbv

Office Address

Mailing Address



Credit Card Details



Driving Licence No.


Signature with seal

Name: _________________________________

Designation: ____________________________

Date: ________/________/_______________ Sign

ator

y-2

Phot

ogra

ph


Male Famale

Date :

Name

bvg

Father’s Name

wcZvi bvg

Mother’s Name

gvZvi bvg

Spouse Name

¯^vgx/¯¿xi bvg






CIF Number

A/C Number


eZ©gvb wVKvbv

Permanent Address

¯’vqx wVKvbv

Office Address

Mailing Address



Credit Card Details



Driving Licence No.


Signature with seal

Name: _________________________________

Designation: ____________________________

Date: ________/________/_______________ Sign

ator

y-3

Phot

ogra

ph


Male Famale

Date :

Name

bvg

Father’s Name

wcZvi bvg

Mother’s Name

gvZvi bvg

Spouse Name

¯^vgx/¯¿xi bvg






CIF Number

A/C Number


eZ©gvb wVKvbv

Permanent Address

¯’vqx wVKvbv

Office Address

Mailing Address



Credit Card Details



Driving Licence No.


Signature with seal

Name: _________________________________

Designation: ____________________________

Date: ________/________/_______________ Sign

ator

y-4

Phot

ogra

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ELECTRONIC FUND TRANSFERAUTHORIZATION FORM(EFT Credit Entries to Receive Payment through BEFTN)

ToLankaBangla Finance LimitedDhaka, Bangladesh

Subject: AUTHORIZATION TO RECEIVE MONTHLY/QUARTERLY/HALF YEARLY/YEARLY INTEREST OR ENCASHMENT AMOUNT THROUGH BEFTN

Dear Sir,I/We hereby authorize LankaBangla Finance Ltd., to credit my/our Monthly/Quarterly/Half Yearly/Yearly interest or encashment amount through BEFTN service and Supplement to my/our account at the bank listed below, to receive the interest income from the account in connection with the TDR mentioned. This authority will remain in effect until the LankaBangla Finance Ltd. (LBFL) is notified by me/us in writing to cancel it or until such discharge of amounts payable in connection with the Term Deposit in the sole satisfaction of LBFL.

TDR Account No.

TDR Account Name

Bank Account Name

Bank Account Number

Bank Name

Branch Account Type Current Savings

Bank Routing No.

TIN Yes No E-mail Address:

TIN Number (if available)

SMS Service Mobile No.

Name ___________________________________________

Date __________/____________/___________________

Signing Authority-2Signing Authority-1

Name __________________________________________

Date __________/___________/___________________

Date :

bKash Account(Mobile Number)

KYC PROFILE FORMApplicantAs per Bangladesh Bank AML Guideline

1. b. Account Holder Name

1. a. Account Name 2. Account Number:

3. Type of Account 4. CIF Number:

5. Name of Account Opening Officer 6. ARM Code:

7. Type of Business & Source of Fund:

8. a. How the source of fund has been verified? _______________________________________________________________________________________

8. b. Whether amount of transaction is relevant with the client’s business/profession (details) __________________________________________________ _________________________________________________________________________________________________________________________

10. Passport Number

11. National ID No.

Photocopy Obtained? Yes No Not Applicable

Photocopy Obtained? Yes No Not Applicable

12. TIN Photocopy Obtained? Yes No Not Applicable

13. VAT Reg. No Photocopy Obtained? Yes No Not Applicable

14. Driving License Photocopy Obtained? Yes No Not Applicable

15.

Nature of Visa Resident Work

______________________________________________________________________________________Comments: Risk Treatment: SDD/EDD

Prepared by Approved by

1 Jewelry/Gems Trade High2 Money Changer/Courier Service Agents High3 Real Estate Agents High

HighHighHigh

7 Restaurant/Bar/Casino/Night Club Owners High8 Import/Export Agents High9 Cash Intensive Business (Cash deposit > 25 lacs in a month) High10 Share/Stock Dealers High11 Manpower Business High

High

14 Arms Dealers High15 Mobile Phone Operators High16 Trader with a turnover of more than 1 crore per annum High17 Travel Agents High18 Transport Operators Medium

Medium20 Leasing/Financing Companies Medium21 Freight/Shipping/Cargo Agents Medium

Sl. Category 22 Insurance/Brokerage Agencies Medium

Medium Medium

25 Moto Parts Businesses Medium Medium

27 Auto Primary (New Car) Low 28 Shop Owners (Retail) Low 29 Business Agents Low 30 Small Traders (Turnover less than 50 lacs per annum) Low 31 Self-Employed Professionals Low 32 Corporate Customers Low

Low 34 Computer/Mobile Phone Dealers Low

Low 36 Manufacturers (Other than arms) Low 37 Other… (LBFL will decide the risk level according type) Low

Sl. Category

• Account Holders’ address(s) verified or not?

• If yes, how?

Politically Exposed Person: (as per A.M.L Circular-14)• a. Approval taken from Top Management Yes No b. Face to face interview with the customer Yes No

Overall Risk Assessment: Low High Moderate

A Template of Customer Risk Profiling (CRP) Form

Customers

Product & Services

Others

Channels

RiskDeterminants RiskVariables/Determinants Assigned

Risk Weight

A customer who has a business which involves large amount of cash (e.g.

restaurant/bars, share & stock brokers etc.

Non-resident customer

customer)

Unclear source of funds or income from undocumented sourcesCustomer opens account in the name of his/her family member who intends to credit large amount of deposits not consistent with the known sources of

Beneficial ownership of funds may not belong to customer

Use of products & services which entail non face-to-face contact

other riskier services

Service to walk-in Customers

How was the account opened?

Any country unidentified by FATF or FSRBs as not having adequateAML&CFT system

-guidance provided by BFIU on ML/FT typologies

Any other risk factors etc.

Value Risk Level Risk weight0-5 million Low 05-20 million Medium 10>20 million High 20

Mode Risk Level Risk WeightRM/Affiliate Low 0Direct Sales agent Medium 10Internet High 20Walk-in/Unsolicited High 20

Total Risk Score

Prepared by

(with seal & signature) (with seal & signature)

Approved by

Scale

Please note that risk weight assigned as above have been selected accord-ing to prevalence of risk i.e.Never = 0Low = 5Moderate = 10High = 20

Customer Risk Profileisre-considered in line with pre-defined criteria of central bank or LBFL's own Internal Risk Assessment

Benchmarking

Risk Score Range

Below 50

51 -80

81 -110

111 -140141 -170

170 & above

Customer Risk Profiling

Low Risk

Moderate Risk

High Risk

1-2

3-4

5-6

1

234

5

6

Check

Clientele Acknowledgment Form (CAF)As per Bangladesh Bank Products & Services Guideline

Name of Client:

Amount of Deposit: Type of Deposit:

Questions

1. What will be the interest rate?

2. When will be the deposit account matured?

3. (a) Will the interest rate be same No in case of early encashment?

(b) If no, whether the client is fully Yes informed about tenure-wise different rates for early encashment?

4. Will it be automatically renewed if the amount is not withdrawn at maturity and no instruction is given by the client in this regard?

5. (a) Will there be any fees charged No against the deposit account?

(b) If so, whether the depositor is informed about it or not.

Agreed with the LBFL’s comment





Comments

LBFL’s Comment Client’s Comment

Customer’s Signature & DateOfficial’s Signature & Date

Yes

MÖvnK A½xKvi bvgvevsjv‡`k e¨vs‡Ki †cÖvWv±m& I mvwf©‡mm bxwZgvjv Abyhvqx

MÖvn‡Ki bvg:

Avgvb‡Zi cwigvY: Avgvb‡Zi aiY:

cÖkœmg~n

1. Avgvb‡Zi Dci cÖ`Ë my` nvi KZ?

2. AvgvbZ wnmvewUi †gqv` K‡e †kl n‡e?

3. (K) †gqv` c~wZ©i c~‡e© bv AvgvbZK…Z A_© D‡Ëvjb Kiv n‡j my`nvi wK GKB _vK‡e?

3. (L) hw` my`nvi GKB bv _v‡K, nu¨v †m‡¶‡Î Avgvb‡Zi †gqv` wfwËK my`nvi m¤ú‡K© MÖvnK‡K AewnZ Kiv n‡q‡Q wKbv?

4. †gqv` c~wZ©‡Z AvgvbZK…Z A_© D‡Ëvjb Kiv bv n‡j Ges MÖvnK †Kvb ai‡bi wb‡`©kbv bv w`‡q nu¨v _vK‡j wnmvewU ¯^qswµqfv‡e bevqb n‡e wK?

5. (K) AvgvbZ wnmv‡ei wecix‡Z bv †Kvb wd Av‡ivc Kiv n‡e wKbv?

5. (L) hw` Giƒc wd Av`vq Kiv nq, Z‡e †m wel‡q MÖvnK‡K AewnZ Kiv n‡q‡Q wKbv?

gšÍe¨

cÖwZôv‡bi gšÍe¨ MÖvn‡Ki gšÍe¨

cÖwZôvbwUi gšÍ‡eï mv‡_ GKgZ





MÖvn‡Ki ¯^v¶i I ZvwiLAwdmv‡ii ¯^v¶i I ZvwiL

Clientele Feedback Form (CFF)As per Bangladesh Bank Products & Services Guideline

1. (a) Despite not mentioned in the agreement will the Maintenance Fee or similar fee be deducted?

Questions

Name of Client:

Name of Deposit: Type of Deposit:

Comments

LBFL’s Comment Client’s Comment

Yes/No

Agreed/Disagreed with theLBFL’s comment

2. (b) If deducted, what was the reason?

Customer’s Signature & DateOfficial’s Signature & Date

MÖvnK gZvgZ digevsjv‡`k e¨vsK-Gi †cÖvWv±m& I mvwf©‡mm bxwZgvjv Abyhvqx

1. (K) P~w³bvgvq D‡jL bv _vK‡jI †gBb‡Ub¨vÝ evGKB iK‡gi Ab¨vb¨ wd wK KZ©b Kiv n‡e?

cÖkœmg~n

MÖvn‡Ki bvg:

Avgvb‡Zi cwigvY: Avgvb‡Zi aiY:

gšÍe¨

cÖwZôv‡bi gšÍe¨ MÖvn‡Ki gšÍe¨

nüv/bv

cÖwZôv‡bi gšÍ‡eï mv‡_GKgZ/GKgZ bv

2. (L) hw` KZ©b Kiv nq, Zvn‡j KZ©b Kivi KviY Kx?

Awdmv‡ii ¯^v¶i I ZvwiL MÖvn‡Ki ¯^v¶i I ZvwiL

General Documents Checklist: Trade License

TIN

Board Resolution

Photographs of Signatories

Signatures of Signatories

Copies of National ID/ Passport/ Valid ID of Signatories

Client

Signature with Date

OPS.

Trust Deed

NBR Certificate (If Available)

Memorandum/Articles of Association (MOA). (If Available)

Cetrificate of incorporation

Others (Please mention below)

a) ______________________________________________

b) ______________________________________________

c) ______________________________________________

RM

Signature with Date

NOTES

Date post:	14-May-2018
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